Individual provider · Type 1 NPI
Gina Marie Wiedrich, MT
Massage Therapist · Canton, GA
NPI number
1831331024
Active
Practice location
2920 Marietta Hwy Ste 108
Canton, GA 30114-8207
Mailing address
619 Redwood Ln
Canton, GA 30114-7788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT001530 (GA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Canton
About NPI 1831331024
Gina Marie Wiedrich, MT's National Provider Identifier is 1831331024, issued on Apr 2, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Canton, GA. The record was last updated on Apr 2, 2009.